泰国曼谷学龄前儿童行为和情绪问题的患病率及相关因素

Prevalence and Factors Related to Behavioral and Emotional Problems among Preschool Children in Bangkok, Thailand.

作者信息

Teekavanich Sineenat, Chantaratin Sasitorn, Sirisakpanit Sudarat, Tarugsa Jariya

出版信息

J Med Assoc Thai. 2017 Feb;100(2):175-82.

Abstract

BACKGROUND

Negative biological and environmental factors results in behavioral and emotional problems that can progress into more serious psychiatric conditions. Despite an increase in identification of behavioral and emotional problems in young children worldwide, epidemiological data in Thai population are limited.

OBJECTIVE

To assess the prevalence of various behavioral and emotional problems and their associated factors in Thai preschoolers in Bangkok.

MATERIAL AND METHOD

A cross-sectional study of 463 preschool children aged 4-6 years was performed from August to October 2014. The psychosocial problems were measured using the parent version of the Strengths and Difficulties Questionnaire (SDQ). Several demographic variables and their associations with the identified problems were also examined and analyzed by Chi-square and Binary logistic regression.

RESULTS

Common behavioral and emotional difficulties reported by parents were eating problems (33.6%), games/TV addiction (28.9%), and sibling rivalry (22.9%). The total difficulties scores of SDQ revealed that 11.9% of children were at risk of behavioral and emotional problems. From the SDQ-subscale-scores analysis, the most prevalent problem was hyperactivity (24%), followed by emotional symptoms (11.9%), prosocial difficulties (11.2%), conduct problems (9.5%), and peer problems (3.7%). Factors associated with the preschool behavioral and emotional problems included parental divorce (OR = 3.3 [95% CI, 1.4-7.9]), severe conflicts in family (OR = 2.7 [95% CI, 1.1-6.6]), parent and child health problems (OR = 2.8 [95% CI, 1.2-6.7] and 2.4 [95% CI, 1.0-5.6], respectively), and chronic illness of family members (OR = 5.13 [95% CI, 2.1-12.4]).

CONCLUSION

Preschool behavioral and emotional problems in Thailand are common. Parents often reported more behavioral problems than emotional ones. Identification of risk factors can imply effective early interventions.

摘要

背景

负面的生物和环境因素会导致行为和情绪问题，这些问题可能会发展成更严重的精神疾病。尽管全球范围内幼儿行为和情绪问题的识别有所增加，但泰国人群的流行病学数据有限。

目的

评估曼谷泰国学龄前儿童各种行为和情绪问题的患病率及其相关因素。

材料与方法

2014年8月至10月对463名4 - 6岁的学龄前儿童进行了横断面研究。使用优势与困难问卷（SDQ）家长版测量心理社会问题。还通过卡方检验和二元逻辑回归检查和分析了几个人口统计学变量及其与已识别问题的关联。

结果

家长报告的常见行为和情绪困难包括饮食问题（33.6%）、游戏/电视成瘾（28.9%）和兄弟姐妹竞争（22.9%）。SDQ的总困难得分显示，11.9%的儿童有行为和情绪问题的风险。从SDQ子量表得分分析来看，最普遍的问题是多动（24%），其次是情绪症状（11.9%）、亲社会困难（11.2%）、品行问题（9.5%）和同伴问题（3.7%）。与学龄前行为和情绪问题相关的因素包括父母离异（OR = 3.3 [95% CI，1.4 - 7.9]）、家庭中的严重冲突（OR = 2.7 [95% CI，1.1 - 6.6]）、父母和孩子的健康问题（分别为OR = 2.8 [95% CI，1.2 - 6.7]和2.4 [95% CI，1.0 - 5.6]）以及家庭成员的慢性病（OR = 5.13 [95% CI，2.1 - 12.4]）。